• Am. J. Med. Sci. · Jan 2010

    Case Reports

    Ischemic gastropathy: an unusual cause of abdominal pain and gastric ulcers.

    • Steven Kaptik, Yasser Jamal, Barbara Kay Jackson, and Claudio Tombazzi.
    • Department of Gastroenterology and Hepatology, University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA. kaptik55@yahoo.com
    • Am. J. Med. Sci. 2010 Jan 1;339(1):95-7.

    AbstractChronic mesenteric ischemia classically presents as "intestinal angina" with generalized postprandial abdominal pain lasting up to 3 hours. Over time, these episodes can become much more intense and ultimately lead to sitophobia with significant weight loss. Symptoms are not specific and often mistakenly attributed to other gastrointestinal etiologies such as peptic ulcer disease. Gastric ulcerations as a direct result of mesenteric ischemia have been reported but are relatively rare because of the rich collateral blood supply to the stomach. Therefore, a diagnosis of ischemic gastropathy is seldom entertained in patients presenting with abdominal pain and gastric ulcers.

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